Adrian is a thirteen-year-old boy who loves sport. He has suffered from asthma since early childhood. He was taking three different inhalers every day, and was still getting symptoms. Moreover, he was waking up in the early hours of the morning for 'a few more puffs' of his inhaler. When things got out of hand, and they did several times a year, he needed oral steroid tablets. In addition, he occasionally had really bad attacks requiring admission to hospital. These were mostly associated with infection. His family doctor wondered whether there was an allergic aspect to his asthma and referred him to the Allergy Clinic. Adrian said that he manages to get by if he 'takes things easy'. But he was a sportsman, and did not want a sedentary lifestyle. He was very frustrated by his inability to ran without coughing and wheezing. Taking his inhaler before a football match did not help. He also had hay fever — and a cat!
Skin tests revealed that he was highly allergic to many airborne allergens, including pollens, dust mites and moulds. He was also allergic to the cat. The first job was to clean up his home environment. He went to town on this, and adopted comprehensive allergen avoidance measures. He asked someone else to adopt the cat. His asthma improved within weeks, but he still had some way to go. We then started a course of desensitisation. By the time of his fourth dose, his lung function had improved considerably, he was sleeping through the night, he played football for the school team, and he had enjoyed a summer without hay fever. We are now weaning him off his inhalers.
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